Whitaker, Joel T

Whitaker, Joel T is an individual health care provider with primary practice located at 140 Academy St , Presque Isle ME 04769-3102. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Whitaker, Joel T can be contacted via phone (207) 768-4100.

Contact Information

Primary practice address
140 Academy St Presque Isle ME 04769-3102
Phone: (207) 768-4100
Fax: (207) 768-5840
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1876 Maine

Profile Details

NPI number 1386112399
LBN Legal business name Whitaker, Joel T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2018
Last updated Nov 7th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386112399 NPPES
Maine Other PA1876 MAINE LICENSE

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